Evidence map›Paper›PMID 40846364›Full record

ArticleJACC. Case reports2025

Hybrid Approach as a Salvage Strategy for Post-Myocardial Infarction Ventricular Septal Defect.

Antonio Rizza, Marta Casula, Tommaso Gasbarri, Kristian Ujka, Cataldo Palmieri, Marco Solinas, Angelo Monteleone, Sergio Berti, Giuseppe Santoro

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Antonio RizzaInterventional Cardiology Unit, Heart Hospital, National Research Council-Tuscany Foundation "G. Monasterio," Massa, Italy.
Marta CasulaClinical Experimental Cardiology, Clinical and Interventional Cardiology, University of Sassari, Sassari, Italy. Electronic address: casulamarta681@gmail.com.
Tommaso GasbarriAdult Cardiac Surgery Unit, Heart Hospital, National Research Council-Tuscany Foundation "G. Monasterio," Massa, Italy.
Kristian UjkaPediatric Cardiology and GUCH Unit, Heart Hospital, National Research Council-Tuscany Foundation "G.Monasterio," Massa, Italy.
Cataldo PalmieriInterventional Cardiology Unit, Heart Hospital, National Research Council-Tuscany Foundation "G. Monasterio," Massa, Italy.
Marco SolinasAdult Cardiac Surgery Unit, Heart Hospital, National Research Council-Tuscany Foundation "G. Monasterio," Massa, Italy.
Angelo MonteleoneDepartment of Radiology, Heart Hospital, National Research Council-Tuscany Foundation "G. Monasterio," Massa, Italy.
Sergio BertiInterventional Cardiology Unit, Heart Hospital, National Research Council-Tuscany Foundation "G. Monasterio," Massa, Italy.
Giuseppe SantoroPediatric Cardiology and GUCH Unit, Heart Hospital, National Research Council-Tuscany Foundation "G.Monasterio," Massa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-myocardial infarction ventricular septal defect (post-MI VSD) is a life-threatening complication of acute myocardial infarction, associated with high mortality if untreated. Advances in surgical repair and percutaneous closure have reduced its incidence, but post-MI VSD remains challenging to manage. CASE SUMMARY: A 67-year-old man with an evolved inferior ST-segment elevation myocardial infarction developed cardiogenic shock. After the diagnosis of post-MI VSD, an initial surgical repair was performed. However, residual ventricular septal defect was detected, likely because of patch dehiscence, along with an additional serpiginous septal defect. After discussion within the heart team, a decision was made to proceed with percutaneous closure of the defect using an Amplatzer vascular plug II (Abbott), achieving an excellent clinical outcome. DISCUSSION: A hybrid approach combining surgery and percutaneous intervention for post-MI VSD demonstrates successful outcomes, especially when reoperation poses high risk. This approach could improve management and survival in complex post-MI VSD cases.

Indexed as

acute coronary syndromecomputed tomographypercutaneous coronary interventionventricular septal defect

Identifiers

PMID40846364
PMCPMC12371420

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.